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Wound 1 Location:
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Wound Onset/Duration:
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Type of Wound
• • •
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Pre-Debridement Measurements in cm (LxWxD):
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Undermining
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Location and Depth of Undermining
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Tunneling
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Location and Depth of Tunneling
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Periwound
• • •
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Wound Edge
• • •
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Granulation
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Slough:
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Eschar
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Epithelial
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Hypergranulation
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Exposed structures
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Type of Drainage
• • •
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Signs of Infection:
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Signs of infection are present, characterized by
• • •
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Wound 1 Treatment
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Was Debridement Performed:
• • •
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Patient Tolerance
• • •
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Tissue Removed
• • •
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Instrument(s) Used
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Depth of Tissue Removed
• • •
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Tissue Status Post-Debridement
• • •
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Post-Debridement Measurements in cm (LxWxD)
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Odor after Cleansing
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Bleeding
• • •
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Additional Debridement Notes
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Wound Cleaning
• • •
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Primary Dressing
• • •
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Secondary Dresing
• • •
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Compression (Type and pressure mmHg)
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Wound 1 Assessment Notes:
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